Nimpaye Hermann, Nisubire Desiré, Nyandwi Joseph
University of Burundi, Faculty of Medecine, Department of Laboratories, Burundi.
University of Burundi, Faculty of Medecine, Department of internal Medecine, Burundi.
East Afr Health Res J. 2020;4(2):189-193. doi: 10.24248/eahrj.v4i2.643. Epub 2020 Nov 26.
Burundi is cited among countries where malaria remains endemic. Notably, malaria is highly endemic in Imbo region, a lowland lying astride Lake Tanganyika. Among key malaria riposte interventions includes the promotion of Long-Lasting Insecticidal Nets (LLINs), but its incidence rate has not reduced. In this paper, we present the distribution of malaria species in 2 settings within Imbo region by accounting for the seasonal variations and the mostly infected populations.
The study was conducted from 2 Health Care Centres of Murambi and Rugombo in Cibitoke District, Northern Burundi. Blood samples were collected on blood slides and the samples were used to confirm the presence of malaria parasites by microscopy.
The study observed an average malaria parasite prevalence of 32.5% across the selected site. Majority of patients 459(95.2%) were infected by P. falciparum while 8(1.7%) patients were infected by P. malariae. Patients from Murambi were more infected than those from Rugombo. P. falciparum was the most highly prevalent specie in the 2 localities. High prevalence was observed in children aged between 2 and 5 years. Among older participants P. falciparum still predominated and mixed infections were rather the least prevalent.
This study showed that P. falciparum and P. malariae are the most parasites involved in malaria morbidity in North Imbo region. The transmission of P. falciparum was observed year-round. Patients in Murambi are most exposed to malaria infections than those in Rugombo. Further research at large scale including entomological studies is required to better understand the relationship between Entomological Inoculation Rates (EIR) and malaria transmission levels in this setting.
布隆迪被列为疟疾仍然流行的国家之一。值得注意的是,疟疾在因博地区高度流行,该地区是一个横跨坦噶尼喀湖的低地。疟疾的主要应对干预措施包括推广长效驱虫蚊帐(LLINs),但其发病率并未降低。在本文中,我们通过考虑季节变化和主要感染人群,呈现了因博地区两个地点的疟原虫种类分布情况。
该研究在布隆迪北部锡比托凯区的穆兰比和鲁贡博两个医疗保健中心进行。在载玻片上采集血样,并通过显微镜检查血样以确认疟原虫的存在。
该研究在所选定的地点观察到疟原虫的平均患病率为32.5%。大多数患者459例(95.2%)感染了恶性疟原虫,而8例(1.7%)患者感染了三日疟原虫。穆兰比的患者比鲁贡博的患者感染率更高。恶性疟原虫是这两个地区最普遍的种类。在2至5岁的儿童中观察到高患病率。在年龄较大的参与者中,恶性疟原虫仍然占主导,混合感染的患病率相当低。
本研究表明,恶性疟原虫和三日疟原虫是因博北部地区疟疾发病的最主要寄生虫。全年都观察到恶性疟原虫的传播。穆兰比的患者比鲁贡博的患者更容易感染疟疾。需要进行包括昆虫学研究在内的大规模进一步研究,以更好地了解该环境下昆虫接种率(EIR)与疟疾传播水平之间的关系。